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HumanaChoice Giveback H7617-051 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for HumanaChoice Giveback H7617-051 (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on HumanaChoice Giveback H7617-051 (PPO) in 2026, please refer to our full plan details page.
HumanaChoice Giveback H7617-051 (PPO) is a PPO plan offered by Humana Inc. available for enrollment in 2026 to people living in Phoenix. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that HumanaChoice Giveback H7617-051 (PPO) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Key Plan Facts
Below are a few key facts and commonly-asked questions about HumanaChoice Giveback H7617-051 (PPO).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For HumanaChoice Giveback H7617-051 (PPO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $90.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan has a $400.00 health deductible. This means, every calendar year, you pay this amount towards covered services before your insurance coverage kicks in.
This plan has a $615.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a combined Maximum Out-Of-Pocket cost of $9750.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $9750.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page for more information.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The HumanaChoice Giveback H7617-051 (PPO) plan offers an Enhanced Alternative drug benefit with an annual prescription drug deductible of $615.00. Before meeting this deductible, individuals who qualify for the low-income subsidy (Extra Help) will enjoy a reduced Part D premium of $0.00. Once the deductible is met, you will pay set copayments or coinsurance during the initial coverage phase until total drug costs reach $2,100.00. Under the initial coverage phase for a 30-day supply, Tier 1 preferred generics cost a $4.00 copay at standard pharmacies and preferred mail, while Tier 2 standard generics require a $47.00 copay. Tier 3 preferred brands and Tier 4 non-preferred drugs carry a 47% and 25% coinsurance, respectively. After your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic phase and pay nothing for Medicare Part D covered drugs.
Additional Benefits
The HumanaChoice Giveback H7617-051 (PPO) plan offers comprehensive medical coverage with no copays for primary care visits, routine preventive services, and home health care. For more intensive medical needs, inpatient hospital stays require a daily copay of $375 for the first six days, while emergency room visits carry a $130 copay, both with no coinsurance. Outpatient services and specialist visits are also covered, typically requiring copays ranging from no copay up to $375. This plan also includes valuable dental, vision, and hearing benefits to help lower your out-of-pocket costs. Routine vision and hearing exams feature no copays, dental services are covered up to a $1,000 annual limit with no copay for most preventive care, and hearing aids require copays between $399 and $699. Additionally, durable medical equipment and dialysis services are covered with coinsurance ranging from 10% to 20% and no copays.
Inpatient Hospital See details
Inpatient hospital benefits are partially covered by HumanaChoice Giveback H7617-051 (PPO) with no coinsurance, requiring a daily copay of $375 for days 1 to 6 of acute care and $322 for days 1 to 6 of psychiatric care, with no copay thereafter. Upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
HumanaChoice Giveback H7617-051 (PPO) covers outpatient services with no coinsurance, featuring a $0 to $375 copay for outpatient hospital services, a $375 copay per stay for observation services, and a $25 to $35 copay for substance abuse sessions. Ambulatory surgical center and outpatient blood services are covered with no copay, although prior authorization is required for most of these services.
Partial Hospitalization See details
HumanaChoice Giveback H7617-051 (PPO) covers partial hospitalization benefits with a $35.00 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are partially covered by HumanaChoice Giveback H7617-051 (PPO), which features a $320 copay for ground ambulance services and a $630 copay for air ambulance services, with no coinsurance for either. Transportation services to plan-approved or any other health-related locations are not covered.
Emergency Services See details
HumanaChoice Giveback H7617-051 (PPO) covers emergency services with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a $50 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with a $130 copay and no coinsurance.
Primary Care See details
Primary Care benefits under HumanaChoice Giveback H7617-051 (PPO) are partially covered with no coinsurance. Primary care physician visits have no copay, and other covered services like specialist visits, therapy, and mental health sessions require copays ranging from $15 to $35, while podiatry and routine chiropractic services are not covered.
Preventive Services See details
Preventive Services are partially covered by HumanaChoice Giveback H7617-051 (PPO), offering covered services like annual physical exams, memory fitness, and glaucoma screenings with no copay or coinsurance. However, the plan does not cover health education, in-home safety assessments, PERS, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, palliative care, in-home support, caregiver support, additional smoking cessation, enhanced disease management, telemonitoring, remote access technologies, home safety devices, and counseling.
Hearing Services See details
Hearing services are partially covered by HumanaChoice Giveback H7617-051 (PPO), offering routine hearing exams and fitting evaluations with no copay and no coinsurance, and Medicare-covered exams for a $35 copay and no coinsurance. Up to two annual prescription hearing aids are covered with a $399 to $699 copay and no coinsurance, while OTC, inner ear, outer ear, and over the ear hearing aids are not covered.
Vision Services See details
HumanaChoice Giveback H7617-051 (PPO) covers vision services with no deductible and no coinsurance, featuring routine eye exams with no copay and other eye exams with a copay of $0 to $35. Eyewear is partially covered with no copay up to a $150 annual limit, though individual eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Dental services are partially covered by HumanaChoice Giveback H7617-051 (PPO) up to a $1,000 annual maximum, with no copay or coinsurance for most preventive, restorative, and surgical services. Medicare-covered dental services require a $35 copay and no coinsurance, while fixed and removable prosthodontics require a 30% coinsurance and no copay; however, fluoride treatment, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by HumanaChoice Giveback H7617-051 (PPO) subject to prior authorization and step therapy. Covered chemotherapy, radiation, and other Part B drugs require no copay and a coinsurance ranging from no coinsurance to 20%, while Part B insulin carries a $35 copay and a coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
Dialysis Services are covered under the HumanaChoice Giveback H7617-051 (PPO) plan with a 20% coinsurance and no copay. Prior authorization is required for these services.
Medical Equipment See details
Medical equipment is covered by HumanaChoice Giveback H7617-051 (PPO), including durable medical equipment (DME) with a 15% coinsurance and no copay. Prosthetics and medical supplies are covered with a 15% to 20% coinsurance and no copay, while diabetic supplies and services require a 10% to 20% coinsurance and copays ranging from no copay to $10.
Diagnostic and Radiological Services See details
HumanaChoice Giveback H7617-051 (PPO) covers diagnostic and radiological services, requiring prior authorization for these benefits. Lab services and outpatient X-rays are covered with no copay, while diagnostic procedures cost up to a $50 copay and 20% coinsurance. Diagnostic radiology requires a copay of up to $300, and therapeutic radiology costs a $75 copay and 20% coinsurance.
Home Health Services See details
HumanaChoice Giveback H7617-051 (PPO) covers Home Health Services with no copay and no coinsurance. Prior authorization is required before you can receive these covered services.
Cardiac Rehabilitation Services See details
HumanaChoice Giveback H7617-051 (PPO) does not cover Cardiac Rehabilitation Services, including intensive cardiac, pulmonary, and supervised exercise therapy (SET) for peripheral artery disease (PAD) services. Because these services are not covered by the plan, there are no copays or coinsurance, and you will be responsible for the full cost of these treatments.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) benefits are partially covered by HumanaChoice Giveback H7617-051 (PPO), with prior authorization required and additional days beyond Medicare-covered stays not covered. Patients pay no coinsurance, along with a daily copay of $10 for days 1 through 20 and $218 for days 21 through 100.
Other Services See details
HumanaChoice Giveback H7617-051 (PPO) partially covers other services, offering acupuncture for a $35 copay and no coinsurance, and meal benefits with no copay and no coinsurance. Over-the-counter (OTC) items and dual eligible SNP services are not covered under this benefit.
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